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Binational insurance a new frontier in health coverage

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“San Diego Country Club sous chef Miguel Mijia spent a week in a , Calif., a year ago after suffering a heart attack. Then he spent another week in a , , where he underwent triple-bypass surgery after a second heart attack. His employer-sponsored health plan covered bills from both hospitals despite an international separating the locations.

Mijia, who works in and lives in , is among a growing number of Latino workers in Southern California whose health plans give them and their families access to networks of hospitals and doctors on both sides of the .

With health reform efforts taking center stage in Sacramento, Calif., this year, cross- policies such as the one used by Mijia offer an enticing path for covering more workers from and other Latin American countries. They account for 57 percent of the state’s 6.7 million uninsured, according to figures from the California HealthCare Foundation. “*

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